| NPI | 1578050803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 105659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105659) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-02-14 |